Youth Feedback for Year 2025

Wellbeing.
1.Do you feel that you can control your feelings?(Required.)
2.Do you have Goals?(Required.)
3.Do you make choices for yourself?(Required.)
4.Do you know what you like and don't like?(Required.)
5.Do you have your own things that belong to you?(Required.)
Social Participation.
6.Do you have friends that you like?(Required.)
7.Do you spend time with your family?(Required.)
8.Do you have people in your life that make you feel like you belong?
(Do other people want to do things with you?)
(Required.)
9.Do you go out and do things you like with other people (restaurant, movies, etc)?(Required.)
10.Are your rights respected by your staff?(Required.)
11.Do you have other people (not INS) that help you?(Required.)
Independence.
12.Are you happy with your life?(Required.)
13.Can you look after yourself by doing things you know how to do?(Required.)
14.Do you do physical activity like exercise, swimming, walking?(Required.)
15.Do you have good health?(Required.)
16.If you are not in good health, is someone helping you?(Required.)
17.Do you have a safe place to live?(Required.)
18.Are you learning how to do new things?(Required.)
19.Do you feel that you are learning and using Skills?(Required.)
20.Do you like the activities you do?(Required.)
21.Do you go to school or have a job or volunteer work that you like?(Required.)
22.Check off the ones that apply to you, if any:
23.If no, would you like to be in school, working, or volunteering?(Required.)
24.Overall, do you like the support you are getting from INS?(Required.)
25.Is your support available when you need it?(Required.)
26.What would you like to see change about your support?(Required.)
Contact.
If you would like to be contacted about your survey, please leave your name and phone number.
27.First name
28.Last name
29.Phone number